Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $46.77 / $93.33	Facility		$31.62	$46.77	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $48.98	Professional		$30.20	$30.90	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $69.18	Facility		$38.90	$38.90	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $38.90	Professional		$30.90	$30.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $72.44 / $151.36	Facility		$29.51	$72.44	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $63.10	Professional		$30.90	$32.36	$63.10
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $24.55 / $70.79	Facility		$23.99	$24.55	$70.79
DeanCare Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $47.86 / $79.43	Professional		$35.48	$47.86	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $87.10	Facility		$29.51	$29.51	$87.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $1,380.38	Professional		$29.51	$33.11	$1,380.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $85.11	Professional		$50.12	$64.57	$85.11
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $72.44	Professional		$30.90	$42.66	$72.44
Quartz Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $3,311.31	Facility		$30.90	$30.90	$3,311.31
Quartz Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $1,380.38	Professional		$30.90	$50.12	$1,380.38
Security Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.66 / $64.57	Professional		$30.90	$42.66	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $30.90	Facility		$27.54	$27.54	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $37.15	Professional		$30.90	$32.36	$37.15